Journal of San Diego History
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Journal of San Diego History The Journal of San Diego History Fall 2002, Volume 48, Number 4 Contents of This Issue First Annual Report of the Board of Health of the City of San Diego for the Year Ending December 31st, 1888.1 Edited by Michael Kelly, M.D. Images from the Article San Diego was fortunate to be a latecomer among the great American cities. During the middle of the nineteenth century, major cities on the East Coast struggled with phenomenal growth. Immigration and urban poverty resulted in crowded and unsanitary living conditions, followed by the inevitable public health problems. In 1888, New York City housed over a million people in tenements.2 Spoiled food, human waste, horse manure and dead animals littered the streets of many cities.3 Horses, the major source of transportation, each produced gallons of urine and from fifteen to thirty pounds of manure daily, much of it deposited on unpaved city streets.4 Providing their growing populations with a clean water supply, sufficient sewers and solid waste disposal presented enormous challenges for big cities during the latter half of the nineteenth century. Epidemics attributed to cholera, typhoid, and dysentery resulted from the pollution of water supplies by sewage dumped into lakes and rivers.5 The decade of the 1880s also brought new scientific understanding of diseases caused by microorganisms. Within the span of only a few years, Louis Pasteur, Robert Koch, and other scientists identified the bacterial causes of tuberculosis, anthrax, typhoid, pneumonia, diphtheria and cholera.6 As early as 1868, the San Diego Union promoted San Diego’s healthful climate, hoping the city could attract a portion of the health-seekers going to Florida.7 San Diego was promoted as a natural sanitarium,8 its mild climate being suited to "delicate females, and consumptive patients in the more advanced stages of disease."9 And many health-seekers suffering from tuberculosis did come to San Diego, seeking a cure in the moderate climate.10 In 1874, the Chamber of Commerce published the city’s first Business Directory, an illustrated pamphlet describing the many natural advantages, institutions and highlights of San Diego. It stated that "As a national sanitarium, San Diego is unsurpassed. Hundreds of invalids have been restored to health, or greatly benefited, by our health-giving climate."11 Harr Wagner moved his literary magazine The Golden Era to San Diego in 1887 and touted "Southern California as a Health Resort."12 Prominent local physicians wrote books and articles about the marvels of San Diego’s healthy climate.13 The Chamber of Commerce cheered that San Diego’s overall death rate was lower than other cities, but only after they had subtracted the deaths from consumption, since most of those had come to San Diego already infected with tuberculosis.14 http://www.sandiegohistory.org/journal/2002-4/1888.htm (1 of 51)9/16/2004 10:50:49 AM Journal of San Diego History The City of San Diego entered the 1880s with a population of only 2,637.15 After the California Southern Railroad connected San Diego with the East in 1885, land speculators and health- seekers flocked to San Diego. Hundreds of newcomers arrived daily and property values soared. San Diego’s Great Boom, from 1886 to 1888, brought with it a tremendous need for clean water, food and milk. At the peak of the Great Boom, San Diego counted an estimated 30,000 to 40,000 residents,16 most of those having arrived within the span of just two years! Like many larger cities, San Diego soon became troubled with filthy streets and offensive odors along its bay. Foul smells from garbage heaps, open cesspools and sewers could not easily be ignored.17 Board of Health San Diego’s Board of Health was first established by the Common Council of the City of San Diego in 1850, under authority of the first City Charter.18 There is no record of regular meetings of that board. The Board of Trustees again established a Board of Health in 1869, in an attempt "to prevent the spread of Small Pox and other contagious diseases in the City of San Diego."19 It does not appear that this Board remained active, and there is no record of its reappearance until the San Diego Union carried news of the "first regular meeting" of the Board of Health on June 12, 1876.20 The "unhealthy condition of the water that was being delivered to the citizens of this city by the San Diego Water Company" was the first public health issue to be discussed by this new Board of Health.21 On January 13, 1888, Mayor William J. Hunsaker re-established the Board of Health with Ordinance #180.22 Dr. Thomas C. Stockton was elected President of the Board of Health when it met again on January 31,1888.23 The other members of the Board of Health at the time were Drs. W.N. Smart, R. Eichler, L.D. Lyford, and Thomas L. Magee. Dr. Daniel B. Northrup, who happened to be Stockton’s partner in medical practice, had become San Diego’s Health Officer in April, 1887. The San Diego Union published Dr. Northrup’s mortality report for the year 1887.24 Board of Health. Report of the Health Officer for the Past Year TWO HUNDRED, FORTY-EIGHT DEATHS… The Board of Health met in the Council Chamber last evening, all its members being present. After the reading and approval of the minutes of the previous meeting the report of Health Officer Northrup, for the year ending December 31, 1887, was read in substance as follows: During the year there were 248 deaths, as follows: Cholera morbus, 1; cholera infantum, 5; diarrhea, 2; dysentery, 1; measles, 2; diphtheria, 3; croup, 2; erysipelas, 1; fever, typhoid, 10; fever remittent and intermittent, 9; fever, malaria, 4; hydrocephalus, 1; meningitis, 8; phthysis pulmonans, 48; marasmus, 4; cancer, 1; pneumonia, 17; pleurisy, 1; bronchitis, 2; enteritis, 5; gastritis, 4; peritonitis, 3; diseases of the liver, 1; diseases of the bowels, 9; Bright’s disease, 17; convulsions, 3; brain diseases, 8; old age, 6; still births, 10; inanition, 2; uremia, 3; tuberculosis, 5; congestion of the lungs, 3; paralysis, 6; asthma, 1; pyemia, 2; railroad accidents, 3; gunshot, 4; cerebral hemorrhage, 4; other causes, 26. http://www.sandiegohistory.org/journal/2002-4/1888.htm (2 of 51)9/16/2004 10:50:49 AM Journal of San Diego History Source: San Diego Union, March 6, 1888, page 5, column 1. Report of the Health Officer, Dr. Northrup, for the year ending December 31, 1887. By early 1888, there were rising expectations of the newly formed Health Department but little progress was evident. The Union criticized the Board of Health and the filthy condition of the city in an editorial entitled "Clean the City": It is time the Board of Health set about the work for which their body is supposed to be particularly created. The filthy condition of the city is not only disgraceful, but dangerous to health and even to life. It is time that the matter be taken in hand in a spirit of vigor and thoroughness. There is absolutely no excuse for the present neglect. The work to be done is so apparent, the foulness so offensive to eye and nostril that it is impossible to walk far in any direction without the shameful supine-ness of the Health Department being fully demonstrated. If new ordinances are needed, let them be made. The situation is too serious for trifling. Clean the city.25 By 1888 Northrup was under pressure to resign his position as Health Officer and had apparently advised the Board of Health of his wish to resign, but remained as Health Officer pending a recommendation for his replacement from the Board of Health to the City Council. The San Diego Union was critical of bills paid by the city to Northrup as Health Officer, totaling "the neat sum of $1,509.50, for services performed and expenses incurred therein." The San Diego Daily Sun reported that the resignation of Dr. Northrup had been "demanded by the people and urged by the newspapers" early in 1888.26 There was clearly a dispute between the City Council and the Board of Health over the appointment of a new Health Officer.27 By July these differences had been settled.28 Dr. David Gochenauer was appointed Executive Officer of the Board of Health (Health Officer) for the City of San Diego at a meeting of the City Council on June 6, 1888.29 Gochenauer reported to the Common Council the following week.30 While the minutes of the Board of Health during the first half of 1888 reveal no evidence of Dr. Northrup’s attendance, Dr. Gochenauer was present at most of the Board of Health meetings beginning with July 14, 1888. Within five months, the tone of newspaper editorials concerning the Health Department and the sanitary condition of the City had turned from embarrassment to praise: It is a matter of congratulation that San Diego is so well organized and efficiently equipped in its Health Department. The present Health Officer took office in June of this year. At that time the department was in a state of chronic inefficiency. It had no organization worthy of the name, no system, no discipline, no equipment. Dr. Gochenauer knew what he was appointed for, and set about the work of bringing order out of confusion.31 Gochenauer had arrived in San Diego in 1886.32 He was born in 1840 in Shippensburg, Pennsylvania, served in the Union army during the Civil War as a captain in the 202nd Pennsylvania infantry, subsequently graduated from Yale and received his M.D.